| NPI | 1134496250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SMITH Director 813-504-5883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-28 |